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Early hospital data tied to CMS’ WISeR Model suggests AI-driven prior authorization in Medicare may be extending approval timelines and delaying patient care.

The post Early WISeR Model Data Shows Rising Delays in M...


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CMS will host an April 16 webinar to review the CMS-0062-P proposed rule, outlining drug prior authorization updates, interoperability standards, and expected impacts.

The post CMS Schedules Webinar on Drug Prior Autho...


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Health plans report an 11% drop in prior authorization volume as of April 7, 2026, following reform efforts, with continued focus on electronic processing and industry standardization.

The post Prior Authorization Vol...


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CMS has delayed prior authorization requirements under the WISeR model for select radiology procedures following industry pushback, citing operational readiness concerns and ongoing AI-related scrutiny.

The post CMS Dela...


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